Assessment of Micronutrient Levels in Pediatric Migraine Patients

J Child Neurol. 2025 Jan 12:8830738241304868. doi: 10.1177/08830738241304868. Online ahead of print.

Abstract

Objective: We aimed to evaluate the relationship between attack frequency and severity and serum levels of micronutrient in pediatric migraine patients.

Methods: Children at 2 hospitals from February to December 2022 diagnosed with migraine were reviewed.

Results: A total of 171 patients with a mean age of 14.3 ± 2.9 years were included in the study. The median 25(OH) vitamin D level was 15.6 μg/L in patients with an attack frequency of 1-3 per month versus 11.9 μg/L in those with more than 3 attacks per month (P = .005). The median vitamin B12 level was 386 ng/L in patients with attack duration of 2-6 hours versus 343.5 ng/L in those with an attack duration of 12-24 hours (P = .048). The median ferritin level was 34 μg/L among patients not receiving prophylactic treatment and 24 μg/L among those receiving prophylactic treatment (P = .019).

Conclusions: This study suggests that assessing micronutrient levels may be beneficial in children with migraine.

Keywords: child; ferritin; folic acid; migraine; vitamin B12.